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Variable selection in subdistribution hazard frailty models with competing risks data

机译:具有竞争风险数据的子分布危害脆弱模型中的变量选择

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摘要

The proportional subdistribution hazards model (i.e. Fine-Gray model) has been widely used for analyzing uni-variatecompeting risks data. Recently, this model has been extended to clustered competing risks data via frailty. To the best of our knowledge, however, there has been no literature on variable selection method for such competing risks frailty models. In this paper, we propose a simple but unified procedure via a penalized h-likelihood (HL) for variable selection of fixed effects in a general class of subdistribution hazard frailty models, in which random effects may be shared or correlated. We consider three penalty functions, least absolute shrinkage and selection operator (LASSO), smoothly clipped absolute deviation (SCAD) and HL, in our variable selection procedure. We show that the proposed method can be easily implemented using a slight modification to existing h-Iikellhood estimation approaches. Numerical studies demonstrate that the proposed procedure using the HL penalty performs well, providing a higher probability of choosing the true model than LASSO and SCAD methods without losing prediction accuracy. The usefulness of the new method is illustrated using two actual datasets from multi-center clinical trials.
机译:比例子分布风险模型(即Fine-Gray模型)已被广泛用于分析单变量竞争风险数据。最近,该模型已扩展为通过脆弱性将竞争风险数据聚类。据我们所知,目前尚无有关此类竞争风险脆弱性模型的变量选择方法的文献。在本文中,我们提出了一种通过惩罚h似然(HL)的简单而统一的程序,用于在一般的子分布危害脆弱模型中固定效应的变量选择,其中随机效应可以共享或相关。在变量选择过程中,我们考虑了三个惩罚函数,即最小绝对收缩和选择算子(LASSO),平滑修剪的绝对偏差(SCAD)和HL。我们表明,通过对现有的h-Iikellhood估计方法稍加修改,可以轻松实现所提出的方法。数值研究表明,所提出的使用HL罚分的方法表现良好,与LASSO和SCAD方法相比,选择真实模型的可能性更高,而不会损失预测精度。使用来自多中心临床试验的两个实际数据集说明了该新方法的有效性。

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